连续妊娠中抑郁筛查结果的模式。

The pattern of depression screening results across successive pregnancies.

机构信息

Departments of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston, IL, USA.

出版信息

Am J Obstet Gynecol. 2012 Mar;206(3):261.e1-4. doi: 10.1016/j.ajog.2011.12.005. Epub 2011 Dec 16.

DOI:10.1016/j.ajog.2011.12.005

PMID:22277930

Abstract

OBJECTIVE

Determine whether depression screen results are consistent across successive pregnancies.

STUDY DESIGN

The Edinburgh Postnatal Depression Scale was administered in 2 successive pregnancies to 2116 women. A woman was "screen-positive" if she scored ≥ 12 at 24-28 weeks' or 6-weeks' postpartum. Screen-positive women were assessed by telephone and triaged by mental health professionals.

RESULTS

Most women (87.9%) were screen-negative in both pregnancies; 1.7% screened successively positive, 5.9% screened positive in only the first pregnancy; 4.5% screened positive in only the second pregnancy. Unpartnered, nonwhite, and publicly insured women were each likelier to screen positive in either or both pregnancies (P < .0001). Gestational age at delivery was significantly greater in women who never screened positive (P < .05). A majority (63%) of screen-positive women in both pregnancies reported no history of mood disorder.

CONCLUSION

There is sufficient variability in depression screening results between successive gestations to warrant screening during each pregnancy.

摘要

目的

确定抑郁筛查结果在连续妊娠中是否一致。

研究设计

对 2116 名女性进行了两次连续妊娠的爱丁堡产后抑郁量表评估。如果女性在 24-28 周或产后 6 周时得分≥12，则被认为“筛查阳性”。筛查阳性的女性通过电话进行评估，并由心理健康专业人员进行分诊。

结果

大多数女性（87.9%）在两次妊娠中均为筛查阴性；1.7%连续筛查阳性，5.9%仅在第一胎妊娠中筛查阳性，4.5%仅在第二胎妊娠中筛查阳性。未婚、非白人、公共保险的女性在一次或两次妊娠中筛查阳性的可能性均更高（P<0.0001）。从未筛查阳性的女性的分娩时的胎龄显著更大（P<0.05）。两次妊娠中大多数（63%）筛查阳性的女性报告没有心境障碍病史。